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Re: I expect a report from anyone who sees "my" patient
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Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 15 Dec 2011 10:03:53 -0600
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So what do you do if a client (whom you ask for a referral from her primary care before you see) tells you that her pediatrician told her "it's ok to see the lc, but if you do anything different from what I've told you to do on her advice, you will need to find another pediatrician." And the pediatrician refuses to hire IBCLC's in his office, only personnel that will continue whatever he thinks is right?  This is where independent IBCLC's may encounter conflict.  Do you refuse to see clients of that particular pediatrician?

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of [log in to unmask]
Sent: Wednesday, December 14, 2011 6:41 PM
Subject: I expect a report from anyone who sees "my" patient

Forgot to say, that if I am the primary care physician for a patient, I EXPECT a report from anyone else who sees that patient.  If the mother requests a consult - you do not need my permission to see her, you do need to tell me what you found and what you recommend, so that I can be sure the best interests of the mother and baby are served.  Of course I work in a very specialized environment where EVERY consultant (MD or otherwise) needs a request/order from me (NICU).


Nancy E. Wight MD, IBCLC, FABM, FAAP 
Attending Neonatologist, Sharp Mary Birch Hospital for Women 
Medical Director, Sharp HealthCare Lactation Service 
San Diego, CA, USA 
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